Individual
TYASIA K GUADALUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
804 N DUPONT BLVD, MILFORD, DE 19963-1006
(302) 725-3557
(302) 725-3558
Mailing address
640 S STATE ST, DOVER, DE 19901-3530
(302) 725-3557
(302) 725-3558
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C2-0025018
DE
207R00000X
Internal Medicine Physician
Primary
C7-0018210
DE
Other
Enumeration date
05/17/2023
Last updated
05/13/2026
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